Deck 15: The Health Care Organization and Patterns of Nursing Care Delivery

Question 1

Which statement shows the nurse's understanding of patient-focused care?

A)"Patient-focused care is a nursing care delivery system."
B)"Patient-focused care is a model for a health care organization."
C)"Patient-focused care is a clinical pathway within an institution."
D)"Patient-focused care is an institutional value and philosophy."

Answer 1

"Patient-focused care is a nursing care delivery system."

Question 2

A nurse manager is training a new hire.Which statement shows an understanding of functional nursing?

A)"Functional nursing is organized around tasks."
B)"Functional nursing is patient led."
C)"Functional nursing is physician led."
D)"Functional nursing is unorganized."

Answer 2

"Functional nursing is organized around tasks."

Question 3

Which statement is true about case management?

A)It helps clients achieve goals effectively and efficiently.
B)It is used to reduce resource utilization only.
C)To be effective,it requires case managers to provide direct patient care.
D)It eliminates the need for other caregivers (LPNs,LVNs,nursing assistants).

Answer 3

It helps clients achieve goals effectively and efficiently.

Question 4

A nurse is covering for a coworker who is on a lunch break.While administering medications,the nurse notices a bag of antibiotic hanging with another patient's name on it.The nurse immediately stops the infusion.What should the next step be?

A)Say nothing about the error because the patient is fine.
B)Speak with the coworker about the error and document the error.
C)Tell the other coworkers about the error.
D)Tell the patient about the error.

Question 5

Which statement regarding characteristics of clinical pathways shows the nurse's lack of understanding?

A)"Clinical pathways focus on patient outcomes."
B)"Clinical pathways use a timeline with sequenced interventions."
C)"Clinical pathways collaborate efforts by health care professionals."
D)"Clinical pathways involve nurse-centered orientation."

Question 6

Which of the following statements shows the nurse's understanding of primary nursing?

A)"One nurse plans and directs patient care over 24 hours."
B)"Involves care for 48 hours or more"
C)"Includes only one nurse planning care for the patient"
D)"Is the only method of care used today"

Question 7

The nurse is reviewing upcoming discharges.Which patient would a case manager be assigned to?

A)A 55-year-old woman post hysterectomy,who has adequate support from family
B)A 42-year-old man post appendectomy,who is able to change his own dressing
C)A 60-year-old man post sepsis,in need of nursing home placement
D)A 38-year-old woman,post shoulder repair,who needs to follow up with the orthopedic surgeon

Question 8

How does managed care affect the economics of health care delivery?

A)Provides incentives for smaller private or individual hospitals
B)Increases the tax base for the community
C)Uses corporate economics to achieve a profit
D)Care is paid for at a prearranged rate

Question 9

A new nurse is determining which hospital to apply for.The nurse has heard a lot about magnet hospitals from friends who are nurses and knows that working for a magnet hospital would mean

A)the nurse would likely experience high job satisfaction.
B)the nurse would likely experience poor job satisfaction.
C)the nurse would have to have a BSN before being able to apply.
D)the nurse would be hired after having a year of nursing experience.

Question 10

Which statement is true about patient classification systems?

A)They measure all the needs of patients.
B)They provide an absolute formula for unit staffing.
C)They should not be used to make patient-care assignments because acuity systems are more accurate.
D)They have been used to determine the number of nurses needed on a unit at any one time.

Question 11

Which of the following best describes the concept of evidence-based practice?

A)It is a method of improving nursing care and effectively maintaining cost containment.
B)Insurance companies review the evidence of the health care practice for reimbursement.
C)It achieves large-scale economics while providing cost-effective care.
D)It provides for the use of recent research in current nursing practice.

Question 12

A nurse is interested in case management.Which statement indicates an understanding of the primary work environment of case managers?

A)"They work most often in acute care institutions."
B)"Their work is focused on community activities and is based within the community."
C)"They typically work for insurance companies,providing coordination of care."
D)"All types of health care organizations,as well as organizations with health-related functions,hire case managers."

Question 13

Which statement by the nurse manager is inaccurate regarding the forces of magnetism? "Forces of magnetism include

A)professional models of care."
B)consultation and resources."
C)cost reduction and sound budgets."
D)nurses as teachers."

Question 14

A chief nursing officer wants to create a healthy work environment.What action by the CNO would be best to accomplish this goal?

A)Use a nursing theory to support the environment and nursing care.
B)Send unit managers to frequent leadership development workshops.
C)Be a nursing advocate and make most nursing decisions him/herself.
D)Offer bonuses for high-performing nurses and ancillary staff.

Question 15

A female patient is admitted to the labor and delivery unit,where she is assigned a registered nurse who will manage her care for the duration of her hospitalization.What type of nursing care delivery model is represented in this nursing unit?

A)Functional care
B)Primary care
C)Patient-focused care
D)Case management

Question 16

The nurse has an adequate understanding of patient-focused care when stating which of the following?

A)"Patient-focused care includes the physician,who supervises care."
B)"Patient-focused care decreases productivity."
C)"In patient-focused care,the nurse supervises delivery of care."
D)"The patient is not an active participant in patient-focused care."

Question 17

Which type of nursing delivery models would be appropriate in a rural area that would require fewer numbers of registered nurses? (Select all that apply.)

A)Functional nursing
B)Team nursing
C)Primary care nursing
D)Patient-focused care
E)Transitional care

Question 18

A nurse has been assigned as team leader for the day and is working with two LPNs and two unlicensed personnel.What should the nurse do to ensure success in caring for patients?

A)Give the assignments for the day out to the team,and plan to meet right before the end of shift.
B)Continuously communicate with the members of the team throughout the entire day.
C)Report changes in a patient's condition to the health care provider only.
D)Revise each patient's plan of care once a shift.

Question 19

The nurse assesses the quality of patient care to be higher in the Total Patient Care model because:

A)patients are able to perform the majority of their own care.
B)nurses are required to perform less care.
C)nurses are able to focus all of their care on one patient.
D)nurses are hired to care for two patients.

Question 20

Which of the following statements about evidence-based practice shows that the nurse has an adequate understanding?

A)"Evidence-based practice is the hospital's protocol for providing care."
B)"Evidence-based practice is based on community need."
C)"Evidence-based practice is a set of guidelines determined by each hospital unit."
D)"Evidence-based practice is the use of current best evidence in making decisions about patient care."

Question 21

The nurse understands cost containment when stating which of the following? Major elements of the law that support cost containment include (Select all that apply.)

A)"increased governmental regulation of insurers."
B)"less use of technology."
C)"increasing incentives for coordination of care."
D)"emphasis on physician-centered care."
E)"decreasing consumer out-of-pocket costs."

Question 22

The nurse judges that the disease management program has been successful when the patient (Select all that apply.)

A)assumes responsibility for his/her own health.
B)learns how to maintain good health.
C)can state how to manage his/her chronic condition.
D)relies on the health care team for maintenance of health.
E)can state how to avoid worsening of health.

Question 23

Which statements by the nurse indicate understanding of the case manager's role? The case manager (Select all that apply.)

A)"guides patients through the health care delivery process."
B)"ensures quicker discharge for patients without insurance."
C)"coordinates care for the patient."
D)"assists patients in achieving goals effectively and efficiently."
E)"collaborates with the health care team."

Question 24

Which actions can the hospital administrator take to reduce health care costs? (Select all that apply.)

A)Hire case managers to see all patients who have extensive medical needs.
B)Reduce the number of patients the hospital can accommodate.
C)Ensure that appropriate staff is available.
D)Encourage the use of evidence-based practice.
E)Accept only patients with health insurance.

Question 25

The nursing shortage is projected to reach 1.2 million by 2020.Which actions can hospitals take to retain nurses? (Select all that apply.)

A)Create a health care system that supports nursing advancement.
B)Encourage a work environment that fosters work group cohesion.
C)Allow nurses to have autonomy.
D)Reduce the number of managers within the health care system.
E)Allow nurses a variety of specialties to choose from.